NPIMap

Individual provider Active NPI

Mathew J Ivory, M.D.

  • Family Medicine Physician
  • Duncan, OK
National Provider Identifier
1497781207
Registry record updated Apr 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20243 Issued in OK
Practice address
2004 N Highway 81
Duncan, OK 73533-1460
Phone
(580) 255-0500
Fax
(580) 252-1684
NPI assigned
Jun 23, 2006
Last updated
Apr 11, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 20243 OK Primary

Addresses

Primary practice location

2004 N Highway 81
Duncan, OK 73533-1460

Mailing address

2004 N Highway 81
Duncan, OK 73533-1460
Phone (580) 255-0500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080616000333 OK Practitioner - Family Practice 3072591577 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Med LLCGroup PAC ID 5597848218, 3 clinicians

Practice addresses (Care Compare)

2004 N Hwy 81
Duncan, OK 73533-1416
Phone (580) 255-0500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.34 of 100Reported as individual
Quality
80.05
Improvement activities
40
Cost
63.38

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Family Med LLC Family Medicine CurrentSince Apr 1, 2012 Accepting new patients
Summit Medical Center Past Accepting new patients
Gregston Nursing Home Inc Past Accepting new patients
JLG Healthcare LLC Past Accepting new patients
Solutions Practice Management Past Accepting new patients
Duncan Regional Hospital, Inc. Past Accepting new patients
Duncan Regional Hospital, Inc Family Medicine Past Accepting new patients

Locations

2004 N Highway 81
Duncan, OK 73533
Phone (580) 252-1911

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Gregston Nursing HomeMarlow, OK, CCN 375425 Skilled nursing facility Adp of the SNF Apr 9, 2025
Elk CrossingDuncan, OK, CCN 375566 Skilled nursing facility Adp of the SNF Apr 9, 2025

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334102400000",
    "number": "1497781207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2004 N HIGHWAY 81",
            "city": "DUNCAN",
            "state": "OK",
            "postal_code": "735331460",
            "telephone_number": "580-255-0500",
            "fax_number": "580-252-1684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2004 N HIGHWAY 81",
            "city": "DUNCAN",
            "state": "OK",
            "postal_code": "735331460",
            "telephone_number": "580-255-0500",
            "fax_number": "580-252-1684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IVORY",
        "first_name": "MATHEW",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-23",
        "last_updated": "2012-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "20243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duncan, OK

Sources for this page

Verify at the official NPI Registry.